Reconnect & Regulate Registration - A Positive Start CIC

Reconnect & Regulate Registration Form

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone

Reconnect & Regulate is an 8 Week In-person Program. Delivered in Hawick on Mon Evenings 6pm-8pm(Required)

Are you available to attend all 8 Sessions

Why This Program?(Required)

Please explain briefly ( 1000 characters or less) why you are interested in enrolling in this program.